Pulmonary meningothelial-like nodule

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Pulmonary meningothelial-like nodule, abbreviated MLN, is a common benign finding in the lung.

They are also referred to as minute pulmonary meningothelial-like nodules (abbreviated MPMN)

General

Associations:

  • More common in females (odds ratio 2).[4]
  • Seen more frequently in the context of cancer - esp. adenocarcinoma.[4]

Gross

  • Typically microscopic.
  • May be seen on imaging if large.[1]

Note:

  • Found in all lobes.[4]

Microscopic

Features:

DDx:

Images

IHC

Features:

  • CD56 +ve (18 of 18 cases[2]).
  • EMA +ve (11 of 11 cases[2]).
  • Vimentin +ve (2 of 2 cases[2]).

See also

References

  1. 1.0 1.1 1.2 Lee, SK.; Kim, GJ.; Kim, YJ.; Leem, AY.; Hwang, ED.; Kim, SK.; Chang, J.; Kang, YA. et al. (Aug 2013). "Minute pulmonary meningothelial-like nodules simulating hematogenous lung metastasis: a case report.". Tuberc Respir Dis (Seoul) 75 (2): 67-70. doi:10.4046/trd.2013.75.2.67. PMID 24023559.
  2. 2.0 2.1 2.2 2.3 Mukhopadhyay, S.; El-Zammar, OA.; Katzenstein, AL. (Apr 2009). "Pulmonary meningothelial-like nodules: new insights into a common but poorly understood entity.". Am J Surg Pathol 33 (4): 487-95. doi:10.1097/PAS.0b013e31818b1de7. PMID 19047895.
  3. 3.0 3.1 3.2 Kfoury, H.; Arafah, MA.; Arafah, MM.; Alnassar, S.; Hajjar, W. (Feb 2012). "Mimicry of Minute Pulmonary Meningothelial-like Nodules to Metastatic Deposits in a Patient with Infiltrating Lobular Carcinoma: A Case Report and Review of the Literature.". Korean J Pathol 46 (1): 87-91. doi:10.4132/KoreanJPathol.2012.46.1.87. PMID 23109985.
  4. 4.0 4.1 4.2 Mizutani, E.; Tsuta, K.; Maeshima, AM.; Asamura, H.; Matsuno, Y. (May 2009). "Minute pulmonary meningothelial-like nodules: clinicopathologic analysis of 121 patients.". Hum Pathol 40 (5): 678-82. doi:10.1016/j.humpath.2008.08.018. PMID 19144385.